{"id":133,"date":"2019-10-29T10:17:43","date_gmt":"2019-10-29T01:17:43","guid":{"rendered":"https:\/\/okawa-obgyn.com\/hosp\/?page_id=133"},"modified":"2025-03-23T21:00:18","modified_gmt":"2025-03-23T12:00:18","slug":"mame10","status":"publish","type":"page","link":"https:\/\/okawa-obgyn.com\/hosp\/mame\/mame10\/","title":{"rendered":"\u598a\u5a20\u4e2d\u6bd2\u75c7"},"content":{"rendered":"\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" 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id=\"%E5%A6%8A%E5%A8%A0%E4%B8%AD%E6%AF%92%E7%97%87%E3%81%AE%E5%8E%9F%E5%9B%A0_%EF%BD%9E%E5%A6%8A%E5%A8%A0%E3%81%97%E3%81%A6%E3%81%84%E3%82%8B%E3%81%93%E3%81%A8%E8%87%AA%E4%BD%93%E3%81%8C%E5%8E%9F%E5%9B%A0%EF%BD%9E\"><\/span>\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u539f\u56e0 \uff5e\u598a\u5a20\u3057\u3066\u3044\u308b\u3053\u3068\u81ea\u4f53\u304c\u539f\u56e0\uff5e<span 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class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>\u598a\u5a20\u4e2d\u6bd2\u75c7\u306f\uff13\uff16\u9031\u4ee5\u964d\u306b\u3082\u3063\u3068\u3082\u51fa\u3084\u3059\u3044\u3068\u3044\u308f\u308c\u3066\u3044\u308b\u304c\u3001\u305d\u306e\u6642\u671f\u306b\u767a\u75c7\u3057\u305f\u5834\u5408\u306e\u307b\u3068\u3093\u3069\u306f\u8efd\u75c7\u3067\u3042\u308b\u3002\u65e9\u671f\u306b\u767a\u75c7\u3059\u308b\u3082\u306e\u306e\u4e2d\u306b\u306f\u91cd\u75c7\u5316\u3059\u308b\u3082\u306e\u3082\u591a\u304f\u542b\u307e\u308c\u3066\u304a\u308a\u3001\u7279\u306b\uff12\uff10\u9031\u4ee5\u524d\u306b\u767a\u75c7\u3059\u308b\u5834\u5408\u306f\u3001\u598a\u5a20\u3059\u308b\u524d\u304b\u3089\u9ad8\u8840\u5727\u3001\u5c3f\u30bf\u30f3\u30d1\u30af\u3001\u6d6e\u816b\u306a\u3069\u3092\u6301\u3064\u6301\u75c5\u304c\u3042\u3063\u305f\u304b\u3001\u907a\u4f1d\u3084\u5bb6\u7cfb\u7684\u306a\u3082\u306e\u306b\u3088\u308b\u3068\u8003\u3048\u3089\u308c\u3001\u3053\u306e\u3088\u3046\u306a\u30b1\u30fc\u30b9\u3092<strong>\u6df7\u5408\u578b\u598a\u5a20\u4e2d\u6bd2\u75c7<\/strong>\u3068\u3044\u3046\u3002<\/p>\n\n\n\n<p>\u3053\u308c\u306b\u5bfe\u3057\uff12\uff10\u9031\u4ee5\u964d\u304b\u3089\u7523\u8925\u671f\uff08\u7523\u5f8c\uff16\u9031\u9593\uff09\u307e\u3067\u306e\u9593\u3067\u767a\u75c7\u3057\u305f\u5834\u5408\u306f<strong>\u7d14\u7c8b\u578b\u598a\u5a20\u4e2d\u6bd2\u75c7<\/strong>\u3068\u533a\u5225\u3057\u3066\u3044\u308b\u3002\u3055\u3089\u306b\u3001\u7d14\u7c8b\u578b\u598a\u5a20\u4e2d\u6bd2\u75c7\u3067\u3082\uff13\uff12\u9031\u672a\u6e80\u306e\u767a\u75c7\u3092<strong>\u65e9\u767a\u578b<\/strong>\u3001\uff13\uff12\u9031\u4ee5\u964d\u306e\u767a\u75c7\u3092<strong>\u9045\u767a\u578b<\/strong>\u3068\u5206\u985e\u3057\u3066\u3044\u308b\u3002\u65e9\u3044\u6642\u671f\u304b\u3089\u75c7\u72b6\u304c\u3067\u308b\u3068\u3044\u3046\u3053\u3068\u306f\u3001\u6bcd\u4f53\u304c\u598a\u5a20\u306e\u5909\u5316\u306b\u65e9\u304f\u304b\u3089\u5bfe\u5fdc\u3067\u304d\u306a\u304f\u306a\u3063\u3066\u3044\u308b\u3068\u3044\u3048\u308b\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u9045\u767a\u578b\u3088\u308a\u65e9\u767a\u578b\u3001\u3055\u3089\u306b\u6df7\u5408\u578b\u3068\u306a\u308b\u307b\u3069\u91cd\u75c7\u5316\u3057\u3084\u3059\u3044\u3068\u3044\u3048\u308b\u3002\u3000<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%88%86%E9%A1%9E\"><\/span>\u5206\u985e<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"has-text-align-left\"><strong>\uff0a\u598a\u5a20\u4e2d\u6bd2\u75c7\u75c5\u578b\u5206\u985e\uff08\uff11\uff19\uff19\uff12\uff09<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u7d14\u7c8b\u578b\u598a\u5a20\u4e2d\u6bd2\u75c7\u3068\u306f\u598a\u5a20\u5076\u767a\u5408\u4f75\u75c7\u306e\u5b58\u5728\u306b\u3088\u308b\u3068\u306f\u63a8\u5b9a\u3057\u3048\u305a\u3001\u598a\u5a20\uff12\uff10\u9031\u304b\u3089\u7523\u8925\u671f\uff08\u5206\u5a29\uff14\uff12\u65e5\u9593\uff09\u307e\u3067\u306e\u671f\u9593\u306b\u306e\u307f\u9ad8\u8840\u5727\u30fb\u86cb\u767d\u5c3f\u30fb\u6d6e\u816b\u306a\u3069\u306e\u75c7\u72b6\u3092\u5448\u3059\u308b\u5834\u5408\u3092\u3044\u3046\u3002<\/li>\n\n\n\n<li>\u6df7\u5408\u578b\u598a\u5a20\u4e2d\u6bd2\u75c7\u3068\u306f\u598a\u5a20\u524d\u3088\u308a\u9ad8\u8840\u5727\u30fb\u86cb\u767d\u5c3f\u30fb\u6d6e\u816b\u306a\u3069\u3092\u5448\u3059\u308b\u75be\u60a3\u306e\u5b58\u5728\u304c\u63a8\u5b9a\u3055\u308c\u3001\u598a\u5a20\u306b\u3088\u3063\u3066\u75c7\u72b6\u306e\u5897\u60aa\u3042\u308b\u3044\u306f\u9855\u6027\u5316\u3092\u307f\u305f\u3082\u306e\u3092\u3044\u3044\u3001\u7d14\u7c8b\u578b\u306b\u8a72\u5f53\u3057\u306a\u3044\u3082\u306e\u3082\u3053\u308c\u306b\u542b\u307e\u308c\u308b\u3002<\/li>\n\n\n\n<li>\u7d14\u7c8b\u578b\u3001\u6df7\u5408\u578b\u306b\u304b\u304b\u308f\u3089\u305a\u3001\u75d9\u6523\u767a\u4f5c\u3092\u4f34\u3046\u3082\u306e\u3002<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"349\" height=\"115\" src=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-17.png\" alt=\"\" class=\"wp-image-1178\" srcset=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-17.png 349w, https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-17-300x99.png 300w\" sizes=\"(max-width: 349px) 100vw, 349px\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%A6%8A%E5%A8%A0%E9%AB%98%E8%A1%80%E5%9C%A7%E7%97%87%E5%80%99%E7%BE%A4%E3%80%80pregnancy_induced_hypertension_PIH_pre-eclampsia\"><\/span>\u598a\u5a20\u9ad8\u8840\u5727\u75c7\u5019\u7fa4\u3000pregnancy induced hypertension; PIH, pre-eclampsia<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p><strong>\u5b9a\u7fa9\u3000<\/strong>\u3000\u598a\u5a2020\u9031\u4ee5\u964d\u3001\u5206\u5a29\u5f8c12\u9031\u307e\u3067\u9ad8\u8840\u5727\u304c\u307f\u3089\u308c\u308b\u5834\u5408\u3001\u307e\u305f\u306f\u9ad8\u8840\u5727\u306b\u86cb\u767d\u5c3f\u3092\u4f34\u3046\u5834\u5408\u306e\u3044\u305a\u308c\u304b\u3067\u3001\u304b\u3064\u3053\u308c\u3089\u306e\u75c7\u72b6\u304c\u5358\u306a\u308b\u598a\u5a20\u306e\u5076\u767a\u5408\u4f75\u75c7\u306b\u3088\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3082\u306e\u3092\u3044\u3046\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"369\" src=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-18-1024x369.png\" alt=\"\" class=\"wp-image-1179\" srcset=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-18-1024x369.png 1024w, https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-18-300x108.png 300w, https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-18-768x277.png 768w, https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-18.png 1032w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><strong>\u91cd\u75c7\u5316\u3059\u308b\u3068\u5b50\u7647\u767a\u4f5c\uff08\u75d9\u6523\uff09\u306a\u3069\u6016\u3044\u75c7\u72b6\u3092\u8d77\u3053\u3059\u3053\u3068\u3082<\/strong><br>\u75c7\u72b6\u306b\u3088\u3063\u3066\u91cd\u75c7\u3068\u8efd\u75c7\u306b\u5206\u3051\u3089\u308c\u308b\u304c\u3001\u91cd\u75c7\u306b\u306a\u308b\u3068\u9ad8\u8840\u5727\u306b\u3088\u308b\u8133\u5185\u51fa\u8840\u3084\u809d\u969c\u5bb3\u3001\u5fc3\u4e0d\u5168\u3001\u80ba\u6c34\u816b\u3001\u5e38\u4f4d\u80ce\u76e4\u65e9\u671f\u5265\u96e2\u3001\u5b50\u7647\u767a\u4f5c\u306a\u3069\u3092\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308b\u3002\u307e\u305f\u3001\u7523\u5f8c\u3082\u9577\u671f\u306b\u308f\u305f\u3063\u3066\u6cbb\u7642\u304c\u5fc5\u8981\u306b\u306a\u3063\u305f\u308a\u3001\u5f8c\u907a\u75c7\u3092\u6b8b\u3059\u3053\u3068\u3082\u3042\u308b\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%BD%B1%E9%9F%BF_%EF%BD%9E%E5%A6%8A%E5%A8%A0%E4%B8%AD%E6%AF%92%E7%97%87%E3%81%AB%E3%81%AA%E3%82%8B%E3%81%A8%E3%81%A9%E3%81%86%E3%81%AA%E3%82%8B%E3%81%AE%EF%BD%9E\"><\/span>\u5f71\u97ff \uff5e\u598a\u5a20\u4e2d\u6bd2\u75c7\u306b\u306a\u308b\u3068\u3069\u3046\u306a\u308b\u306e\uff5e<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%EF%BC%91%EF%BC%8E%E8%83%8E%E5%85%90%E8%83%8E%E7%9B%A4%E6%A9%9F%E8%83%BD%E4%B8%8D%E5%85%A8\"><\/span>\uff11\uff0e\u80ce\u5150\u80ce\u76e4\u6a5f\u80fd\u4e0d\u5168<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>\u75c7\u72b6\u306e\u91cd\u75c7\u5316\u306b\u4f34\u3044\u80ce\u76e4\u5185\u306e\u8840\u7ba1\u304c\u969c\u5bb3\u3092\u53d7\u3051\u3001\u5b50\u5bae\u304b\u3089\u80ce\u76e4\u306b\u5341\u5206\u306a\u8840\u6db2\u304c\u904b\u3070\u308c\u306a\u304f\u306a\u308b\u3002\u80ce\u5150\u306b\u5fc5\u8981\u306a\u9178\u7d20\u3084\u6804\u990a\u304c\u4f9b\u7d66\u3055\u308c\u306a\u304f\u306a\u308b\u3068\u3001\u8d64\u3061\u3083\u3093\u306e\u5143\u6c17\u304c\u306a\u304f\u306a\u308a\u3001\u767a\u80b2\u304c\u9045\u308c\u305f\u308a\u3001\u4f53\u91cd\u304c\u5897\u3048\u306a\u3044\uff08IUGR\uff1a\u5b50\u5bae\u5185\u80ce\u5150\u767a\u80b2\u9045\u5ef6\uff09\u306a\u3069\u306e\u554f\u984c\u304c\u8d77\u3053\u3063\u3066\u304f\u308b\u3002\u5206\u5a29\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u3092\u9003\u3059\u3068\u80ce\u5150\u4eee\u6b7b\u3084\u6700\u60aa\u306e\u5834\u5408\u80ce\u5150\u6b7b\u4ea1\u3092\u8d77\u3053\u3059\u3053\u3068\u3082\u3042\u308b\u3002<\/p>\n\n\n\n<p>\u307e\u305f\u3001\u5c06\u6765\u5150\u306b\u969c\u5bb3\u304c\u3067\u3066\u304f\u308b\u5fc3\u914d\u3082\u3042\u308a\u3001\u80ce\u5150\u306e\u5065\u5eb7\u72b6\u614b\u3068\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u75c5\u52e2\u3092\u5341\u5206\u628a\u63e1\u3057\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308b\u3002\u305d\u306e\u305f\u3081\u3001\u5206\u5a29\u8a98\u767a\u3084\u5e1d\u738b\u5207\u958b\u306a\u3069\u3067\u65e9\u3081\u306b\u5150\u3092\u5a29\u51fa\u3055\u305b\u308b\u3053\u3068\u3082\u3042\u308b\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%EF%BC%92%EF%BC%8E%E6%AF%8D%E4%BD%93%E3%81%AE%E9%87%8D%E7%97%87%E5%8C%96%EF%BC%88%E5%A6%8A%E5%A8%A0%E4%B8%AD%E6%AF%92%E7%97%87%E3%81%AE%E5%A2%97%E6%82%AA%EF%BC%89\"><\/span>\uff12\uff0e\u6bcd\u4f53\u306e\u91cd\u75c7\u5316\uff08\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u5897\u60aa\uff09<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>\u91cd\u75c7\u306e\u5834\u5408\u3067\u3082\u6bcd\u4f53\u3078\u306e\u5bfe\u75c7\u7642\u6cd5\u3092\u884c\u3044\u306a\u304c\u3089\u3001\u80ce\u5150\u306e\u767a\u80b2\u30fb\u6210\u719f\u3092\u5f85\u3064\u304c\u3001\u6bcd\u4f53\u306e\u5065\u5eb7\u72b6\u614b\u304c\u60aa\u304f\u3001\u598a\u5a20\u306e\u7d99\u7d9a\u306b\u8010\u3048\u3089\u308c\u306a\u3044\u3068\u5224\u65ad\u3055\u308c\u305f\u5834\u5408\u306b\u306ftermination\uff08\u598a\u5a20\u306e\u7d42\u7d50\uff09\uff1d\u5206\u5a29\u65b9\u91dd\u3068\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u3068\u304d\u306e\u7dca\u6025\u6027\u3084\u5206\u5a29\u9032\u884c\u72b6\u614b\u306b\u3088\u308a\u5206\u5a29\u65b9\u6cd5\uff08\u8a98\u767a\u5206\u5a29\u3001\u5438\u5f15\u30fb\u9257\u5b50\u5206\u5a29\u3001\u5e1d\u738b\u5207\u958b\uff09\u304c\u9078\u629e\u3055\u308c\u308b\u3002\u305d\u308c\u306f\u3001\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u3044\u3061\u3070\u3093\u306e\u6cbb\u7642\u6cd5\u306f\u598a\u5a20\u306e\u7d42\u7d50\u3060\u304b\u3089\u3067\u3042\u308b\u3002\u3053\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u304c\u9045\u304f\u306a\u308b\u3068\u6bcd\u4f53\u306fDIC\u3068\u306a\u308a\u591a\u81d3\u5668\u4e0d\u5168\u3068\u306a\u308a\u3046\u308b\u306e\u3067\u3001\u5e38\u306b\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u75c5\u72b6\u3092\u628a\u63e1\u3057\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%EF%BC%93%EF%BC%8E%E7%94%A3%E8%A4%A5%E5%BE%8C%E9%81%BA%E7%97%87\"><\/span>\uff13\uff0e\u7523\u8925\u5f8c\u907a\u75c7<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>\u6839\u672c\u7684\u306a\u6cbb\u7642\u306f\u598a\u5a20\u306e\u7d42\u4e86\u306a\u306e\u3067\u3001\u4e00\u822c\u306b\u306f\u7523\u5f8c\u3057\u3070\u3089\u304f\u3059\u308b\u3068\u81ea\u7136\u306b\u6539\u5584\u3055\u308c\u308b\u3002\u3057\u304b\u3057\u3001\u7523\u5f8c\u3001\u598a\u5a20\u306e\u5f71\u97ff\u304c\u7121\u304f\u306a\u3063\u305f\u6642\u70b9\uff08\u5206\u5a29\u5f8c\uff14\uff5e\uff16\u9031\u9593\uff09\u3067\u3082\u75c7\u72b6\u304c\u7d9a\u304f\u306a\u3089\u3001\u5f8c\u907a\u75c7\u306e\u5b58\u5728\u3001\u3042\u308b\u3044\u306f\u598a\u5a20\u524d\u306b\u306f\u5206\u304b\u3063\u3066\u3044\u306a\u304b\u3063\u305f\u57fa\u790e\u75be\u60a3\u306e\u5b58\u5728\u304c\u5371\u60e7\u3055\u308c\u308b\u3002\u305d\u306e\u969b\u306b\u306f\u5185\u79d1\u7684\u7cbe\u67fb\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u5f8c\u907a\u75c7\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3059\u305f\u3081\u306b\u3082\u5206\u5a29\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u3092\u9003\u3055\u306a\u3044\u3053\u3068\u304c\u91cd\u8981\u3068\u3044\u3048\u308b\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E3%81%A9%E3%82%93%E3%81%AA%E4%BA%BA%E3%81%8C%E3%81%AA%E3%82%8A%E3%82%84%E3%81%99%E3%81%84%E3%81%AE%EF%BC%9F\"><\/span>\u3069\u3093\u306a\u4eba\u304c\u306a\u308a\u3084\u3059\u3044\u306e\uff1f<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>\u9ad8\u8840\u5727\u306e\u5bb6\u7cfb<\/li>\n\n\n\n<li>\u6975\u7aef\u306b\u592a\u3063\u3066\u3044\u308b\u30fb\u3084\u305b\u3066\u3044\u308b<\/li>\n\n\n\n<li>\u524d\u56de\u598a\u5a20\u6642\u3001\u598a\u5a20\u4e2d\u6bd2\u75c7\u3067\u3042\u3063\u305f\u3002<\/li>\n\n\n\n<li>\u82e5\u5e74\u30fb\u9ad8\u5e74\u51fa\u7523<\/li>\n\n\n\n<li>\u5408\u4f75\u75c7\uff08\u57fa\u790e\u75be\u60a3\uff09\u306e\u3042\u308b\u4eba<\/li>\n\n\n\n<li>\u591a\u80ce\u598a\u5a20<\/li>\n\n\n\n<li>\u521d\u3081\u3066\u306e\u598a\u5a20<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E6%B2%BB%E7%99%82_%EF%BD%9E%E5%A6%8A%E5%A8%A0%E4%B8%AD%E6%AF%92%E7%97%87%E3%81%AE%E6%B2%BB%E7%99%82%E3%81%AF%EF%BC%9F%EF%BD%9E\"><\/span>\u6cbb\u7642 \uff5e\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u6cbb\u7642\u306f\uff1f\uff5e<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%EF%BC%91%EF%BC%8E%E3%82%82%E3%81%A3%E3%81%A8%E3%82%82%E5%A4%A7%E5%88%87%E3%81%AA%E3%81%AE%E3%81%AF%E5%AE%89%E9%9D%99%E3%81%A8%E9%A3%9F%E4%BA%8B%E7%99%82%E6%B3%95\"><\/span>\uff11\uff0e\u3082\u3063\u3068\u3082\u5927\u5207\u306a\u306e\u306f\u5b89\u9759\u3068\u98df\u4e8b\u7642\u6cd5<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u6cbb\u7642\u6cd5\u306f\u307e\u305a\u5b89\u9759\u306b\u3059\u308b\u3053\u3068\u3002\u3068\u304f\u306b\u6a2a\u306b\u306a\u308b\u3068\u4f53\u306b\u304b\u304b\u308b\u8ca0\u62c5\u304c\u8efd\u304f\u306a\u308b\u306e\u3067\u3001\u814e\u81d3\u306b\u6d41\u308c\u308b\u8840\u6db2\u306e\u91cf\u304c\u5897\u3048\u3066\u3080\u304f\u307f\u304c\u53d6\u308c\u3001\u8840\u5727\u3082\u4e0b\u304c\u3063\u3066\u3044\u304f\u3002\u5b50\u5bae\u306b\u6d41\u308c\u308b\u8840\u6db2\u91cf\u3082\u5897\u3048\u308b\u305f\u3081\u3001\u80ce\u5150\u3078\u306e\u9178\u7d20\u30fb\u6804\u990a\u4f9b\u7d66\u3082\u5897\u3048\u308b\u3053\u3068\u3068\u306a\u308b\u3002\u98df\u4e8b\u7642\u6cd5\u3082\u5927\u5207\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<p class=\"has-text-align-left\">\uff0a\u6804\u990a\u7ba1\u7406\uff0a<br>\uff11\uff09 \u4f4e\u30ab\u30ed\u30ea\u30fc\uff081800\uff09kcal\/day \u7a0b\u5ea6\uff09<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000BMI\uff1d\u4f53\u91cd(Kg)\/\u8eab\u9577\uff08m)2<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000 \u975e\u598a\u5a66\uff08\u3084\u305b\uff1a18\u672a\u6e80\u3001\u6a19\u6e96\uff1a20\uff5e22\u3001\u80a5\u6e80\uff1a24\u4ee5\u4e0a\uff09<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u6a19\u6e96\u4f53\u91cd\uff1d\u8eab\u9577\uff08m\uff09X\u8eab\u9577\uff08\uff4d\uff09\uff3822<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30fb\u975e\u598a\u6642\u3000BMI\u300024\u4ee5\u4e0b\uff1a<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u300030Kcal X \u6a19\u6e96\u4f53\u91cd + 200Kcal<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30fb\u975e\u598a\u6642\u3000BMI\u300024\u4ee5\u4e0a\uff1a<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u300030Kcal X \u6a19\u6e96\u4f53\u91cd<\/p>\n\n\n\n<p class=\"has-text-align-left\">\uff12\uff09 \u305f\u3093\u3071\u304f\u8cea<br>\u5f93\u6765\u306f\u9ad8\u30bf\u30f3\u30d1\u30af\u3068\u3055\u308c\u3066\u3044\u305f\u304c\u3001\u4f4e\u30ab\u30ed\u30ea\u30fc\u98df\u3067\u3042\u308b\u4ee5\u4e0a\u3001\u56f0\u96e3\u3067\u3042\u308a\u898b\u76f4\u3057\u304c\u56f3\u3089\u308c\u305f\u3002<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\uff0a\u86cb\u767d\u6442\u53d6\u91cf<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30fb\u598a\u5a20\u4e2d\u6bd2\u75c7\uff1a1.0g\/\u65e5 X \u6a19\u6e96\u4f53\u91cd<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30fb\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u4e88\u9632\uff1a1.2~1.4g\/\u65e5 X \u6a19\u6e96\u4f53\u91cd<\/p>\n\n\n\n<p>\uff13\uff09 \u6e1b\u5869\uff087g\/day\u7a0b\u5ea6\uff09<br>\u6700\u8fd1\u3001\u5869\u5206\u5236\u9650\u3067\u306f\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u6539\u5584\u306f\u307f\u3089\u308c\u306a\u3044\u3068\u3044\u308f\u308c\u3001\u3080\u3057\u308d\u6bcd\u4f53\u5faa\u74b0\u8840\u6db2\u91cf\u3092\u6e1b\u5c11\u3055\u305b\u9ad8\u8840\u5727\u3092\u60aa\u5316\u3055\u305b\u308b\u306a\u3069\u306e\u6307\u6458\u304c\u3042\u308b\u3002\u3057\u304b\u3057\u3001\u65e5\u672c\u4eba\u306e\u5869\u5206\u6442\u53d6\u91cf\u306f\u4ed6\u56fd\u306b\u6bd4\u3057\u591a\u3044\u305f\u3081\u3042\u308b\u7a0b\u5ea6\u306f\u884c\u308f\u308c\u308b\u610f\u5473\u306f\u3042\u308b\u3002<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\uff0a\u5869\u5206\u5236\u9650<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30fb\u6b63\u5e38\u598a\u5a66\uff1a10g\/\u65e5<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30fb\u598a\u5a20\u4e2d\u6bd2\u75c7\uff1a7~8g\/\u65e5\u7a0b\u5ea6<\/p>\n\n\n\n<p>\u30fb\u6c34\u5206\u5236\u9650\u306f\u57fa\u672c\u7684\u306b\u306f\u5fc5\u8981\u306a\u3057\uff08\u8840\u6db2\u6fc3\u7e2e\u3092\u62db\u304d\u80ce\u76e4\u5faa\u74b0\u306b\u3068\u308a\u597d\u307e\u3057\u304f\u306a\u3044\uff09\uff09<\/p>\n\n\n\n<p>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\uff0a\u305d\u306e\u4ed6\u3000\u3000\u3000\u3000\u3000 \u3000\u3000  \u30fb\u9ad8\u30d3\u30bf\u30df\u30f3\u98df<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30fb\u9b5a\uff08\u30a8\u30a4\u30b3\u30b5\u30da\u30f3\u30bf\u30a8\u30f3\u9178\uff09<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30fb\u91ce\u83dc\u3001\u679c\u7269\uff08\u30ab\u30ea\u30a6\u30e0\uff09<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30fb\u52d5\u7269\u6027\u8102\u80aa\u30fb\u7cd6\u8cea\u306e\u5236\u9650<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%EF%BC%92%EF%BC%8E%E8%96%AC%E7%89%A9%E7%99%82%E6%B3%95\"><\/span>\uff12\uff0e\u85ac\u7269\u7642\u6cd5<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p><strong>\uff11\uff09\u964d\u5727\u5264\uff08\u8840\u5727\u76ee\u6a19\u5024140~150\/90~100mmHg\uff09<\/strong><br>\uff08\uff11\uff09\u3000Hydralazine\uff08\u30a2\u30d7\u30ec\u30be\u30ea\u30f3\uff09\u3000\u3000\u3000<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u7d4c\u53e3\uff1a\u300030~120mg\/day p.o.\u3000\u52063<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u70b9\u6ef4\u9759\u6ce8\uff1a\u3000100mg(5A)+5%G500ml\u306b\u30660.5~2\u03bcg\/kg\/\u5206<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u300015ml\/hr\u219230ml\/hr\u219240ml\/hr\u219250ml\/hr<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u307e\u305f\u306f20mg(1A)+\u751f\u98df200ml div<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000(\u52b9\u679c\u767a\u73fe\u307e\u306720~30\u5206\u304b\u304b\u308b)<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u8840\u7ba1\u306e\u53ce\u7e2e\u3084\u62b5\u6297\u3092\u6e1b\u3058\u3001\u8840\u5727\uff08\u7279\u306b\u62e1\u5f35\u671f\u5727\uff09\u3092\u4f4e\u4e0b<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u5fc3\u62cd\u91cf\u3084\u814e\u8840\u6d41\u91cf\u3092\u5897\u52a0\u3055\u305b\u5229\u5c3f\u3092\u3082\u305f\u3089\u3059<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u526f\u4f5c\u7528\uff1a\u52d5\u6a5f\u3001\u982d\u75db<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u6bcd\u4e73OK<\/p>\n\n\n\n<p>\uff08\uff12\uff09\u3000methyldopa\uff08\u30a2\u30eb\u30c9\u30e1\u30c3\u30c9\uff09<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u4f5c\u7528\u306e\u767a\u73fe\u9045\u304f\uff12\uff5e3\u65e5\u304b\u304b\u308b<br>\uff08\uff13\uff09\u3000\u03b1\u30fb\u03b2\u30d6\u30ed\u30c3\u30ab\u30fc\uff08\u30c8\u30e9\u30f3\u30c7\u30fc\u30c8\uff09<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000 150~450mg\/day p.o.<\/p>\n\n\n\n<p>\uff08\uff14\uff09\u3000\u30ab\u30eb\u30b7\u30a6\u30e0\u30d6\u30ed\u30c3\u30ab\u30fc\uff08\u5869\u9178\u30cb\u30ab\u30eb\u30b8\u30d4\u30f3\uff1d\u30da\u30eb\u30b8\u30d4\u30f3\uff09<br>\u7d30\u80de\u5185\u30ab\u30eb\u30b7\u30a6\u30e0\u6fc3\u5ea6\u306e\u5897\u52a0\u304c\u4e2d\u6bd2\u75c7\u306e\u75c5\u614b\u306e1\u3064\u3088\u308a\u3001\u672c\u5264\u306f\u539f\u56e0\u7642\u6cd5\u3068\u3057\u3066\u3082\u9069\u3057\u3066\u3044\u308b\u304c\u3001\u3057\u3070\u3057\u3070\u4f5c\u7528\u304c\u5f37\u304f\uff08\u304d\u308c\u304c\u3044\u3044\uff09\u6ce8\u610f\u304c\u5fc5\u8981\u3002\u7523\u8925\u671f\u306b\u4f7f\u3044\u3084\u3059\u3044<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u7d4c\u53e3\uff1a\u30da\u30eb\u30b8\u30d4\u30f3LA 40~80mg 2X \/day p.o.<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u70b9\u6ef4\u9759\u6ce8\uff1a \u30da\u30eb\u30b8\u30d4\u30f320mg(2A)+5%G500ml<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u958b\u59cb\u30fb\u30fb0.4\u03bcg\/kg\/\u5206\uff0850kg\u306a\u3089\u3001\u7d0430ml\/hr)<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u7dad\u6301\u30fb\u30fb2~10\u03bcg\/kg\/\u5206\u3000\u30fb\u30fb\u30fb\u5b9f\u969b\u306b\u306f20ml\/hr\u3088\u308a\u958b\u59cb\u3000<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000* \u30e9\u30b7\u30c3\u30af\u30b9\u7b49\u306e\u5229\u5c3f\u5264\u306f\u539f\u5247\u3068\u3057\u3066\u4f7f\u7528\u3057\u306a\u3044<\/p>\n\n\n\n<p><strong>\uff12\uff09\u3000\u6297\u51dd\u56fa\u7642\u6cd5<\/strong><br>\u3000\u3000\u3000\u3000\u3000\u3000\uff08\uff11\uff09\u3000\u30d8\u30d1\u30ea\u30f3\u7642\u6cd5<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30fb\u4f4e\u5206\u5b50\u30d8\u30d1\u30ea\u30f3\uff08\u30d5\u30e9\u30b0\u30df\u30f3\uff0975U\/kg\/24hr\u3067\u6301\u7d9a\u70b9\u6ef4<br>\u3000\u3000\u3000\u3000\u3000\u3000\uff08\uff12\uff09\u3000AT-III\u88fd\u5264 1500mg\/30\u5206\u3067div<\/p>\n\n\n\n<p><strong>\uff13\uff09\u3000\u5b50\u7647\u767a\u4f5c\u306b\u5bfe\u3059\u308b\u6cbb\u7642<\/strong><br>\u3000\u3000\u3000\u3000\u3000\u3000\uff08\uff11\uff09 diazepam\uff08\u30bb\u30eb\u30b7\u30f3\uff09\u3000\u3000\u3000\u30001A(10mg) i.v.<br>\u3000\u3000\u3000\u3000\u3000\u3000\uff08\uff12\uff09 \u786b\u9178\u30de\u30b0\u30cd\u30b7\u30a6\u30e0\uff08\u30de\u30b0\u30cd\u30be\u30fc\u30eb\uff1dMgSO4 \uff09 1A=20ml=2g<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u30de\u30b0\u30cd\u30be\u30fc\u30eb10~20ml(1~2g)\u3092\u6570\u5206\u9593\uff0810\uff5e20\u5206\uff09\u3067i.v.\u3001<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u305d\u306e\u5f8c1\uff5e\uff12g\/hr\u3067div\uff0850ml\u306e\u30b7\u30ea\u30f3\u30b8\u306b2A=40ml\u3064\u3081\u300110~20ml\/hr\u3067div\uff09<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000* \u5207\u8feb\u65e9\u7523\u3067\u7528\u3044\u308b\u5834\u5408<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000 \uff11\u300150ml\u306e\u30b7\u30ea\u30f3\u30b8\u306b2A=40ml\u3064\u3081\u308b\u3002<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000 \uff12\u3001\u307e\u305a40ml\/hr\u3067\uff13\uff10\u5206\u30ed\u30fc\u30c7\u30a3\u30f3\u30b0\uff0820ml\/30\u5206\u6ce8\u5165\u3067\u6709\u52b9\u6fc3\u5ea6\u3068\u3059\uff09<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000 \uff13\u3001\u7dad\u6301\u91cf\u3068\u3057\u30663\uff5e8ml\/hr\uff0810~20g\/day\uff09\u3092\u7d9a\u3051\u308b<\/p>\n\n\n\n<p>\u3000\u3000\u3000\u3000\u3000\u3000\uff08\uff13\uff09 \u518d\u767a\u4e88\u9632\u306e\u305f\u3081\uff1a\u30d5\u30a7\u30ce\u30d0\u30fc\u30eb\uff081A=1ml\uff09\u30921\u56de1\uff5e2ml\u7b4b\u6ce8<\/p>\n\n\n\n<p><strong>\uff14\uff09 \u767a\u75c7\u4e88\u9632\u6cd5<\/strong><br>\u3000\u3000\u3000\u3000\u3000\uff08\uff11\uff09 \u4f4e\u5bb9\u91cf\u30a2\u30b9\u30d4\u30ea\u30f3\u7642\u6cd5\uff08\u5c0f\u5150\u7528\u30d0\u30d5\u30a1\u30ea\u30f3\uff09\u30001\uff34\/day\uff1d81mg\/day<br>\u3000\u3000\u3000\u3000\u3000\uff08\uff12\uff09\u30ab\u30eb\u30b7\u30a6\u30e0\u5927\u91cf\u7642\u6cd5\uff08600~1200mg\/day\uff09<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E4%B8%80%E8%88%AC%E7%AE%A1%E7%90%86%E6%96%B9%E9%87%9D\"><\/span>\u4e00\u822c\u7ba1\u7406\u65b9\u91dd<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>\u3000\uff11\uff09 \u8efd\u75c7\u4f8b \uff1a\u98df\u4e8b\u306e\u5869\u5206\u3092\u63a7\u3048\u3001\u81ea\u5b85\u3067\u5b89\u9759\u3092\u6307\u793a\u3059\u308b\u3002<br>\u3000\uff12\uff09 \u91cd\u75c7\u4f8b\u3001\u8efd\u75c7\u3067\u3082\u75c7\u72b6\u91cd\u8907\u3057\u3066\u3044\u308b\u4f8b\u3001IUGR\u5408\u4f75\uff1a\u5165\u9662\u3068\u3059\u308b<br>\u3000\u3000\u3000\u6cbb\u7642\u30fb\u30fb\u30d9\u30c3\u30c9\u4e0a\u5b89\u9759\u3001\u98df\u4e8b\u7642\u6cd5\uff081800kcal\/\u65e5\u3001\u5869\u52067g\uff09<br>\u3000\u3000\u3000\u691c\u67fb\u30fb\u30fb\u6bcd\u4f53\u8a55\u4fa1\uff1a\u8840\u6db2\u691c\u67fb\uff08CBC\u3001\u751f\u5316\u3001\u51dd\u56fa\u691c\u67fb\uff09\u3001\u5c3f\u86cb\u767d\u5b9a\u91cf\u3001\u814e\u6a5f\u80fd\u691c\u67fb\uff0824hrCCR\uff09<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u8840\u5727\u6e2c\u5b9a\u3001\u6d6e\u816b\u8a55\u4fa1<br>\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u80ce\u5150\u8a55\u4fa1\uff1awell being\uff08NST\u3001\u8d85\u97f3\u6ce2\u30ab\u30e9\u30fc\u30c9\u30c3\u30d7\u30e9\u30fc\uff09\u3001\u80ce\u5150\u767a\u80b2\uff08\u8d85\u97f3\u6ce2\uff09<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E6%AF%8D%E8%83%8E%E7%97%87%E7%8A%B6%E5%A2%97%E6%82%AA%E5%82%BE%E5%90%91%E3%81%AE%E6%97%A9%E6%9C%9F%E6%8C%87%E6%A8%99\"><\/span>\u6bcd\u80ce\u75c7\u72b6\u5897\u60aa\u50be\u5411\u306e\u65e9\u671f\u6307\u6a19<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"has-text-align-left\">\uff08\uff11\uff09 \u8840\u6db2\u7c98\u8abf\u5ea6\u306e\u5897\u52a0\uff08Ht\uff1e40%\uff09<br>\uff08\uff12\uff09 \u5c3f\u9178\u5024\uff08UA\uff09\u306e\u5897\u52a0<br>\uff08\uff13\uff09 \u51dd\u56fa\u30fb\u7dda\u6eb6\u7cfb\u306e\u4ea2\u9032\uff08\u7523\u79d1\u7684\uff24\uff29\uff23\uff09<br>\u307e\u305a\uff34\uff21\uff34\u304c\u4e0a\u6607\uff08\u4f8b\uff34\uff21\uff34\uff1e10\uff09\u2192AT-III\u4f4e\u4e0b\uff08\u4f8b80\uff05\u4ee5\u4e0b\uff09\u2192D-dimer\u4e0a\u6607\u2192\u3055\u3089\u306b\u91cd\u75c7\u5316\u3059\u308b\u3068\uff24\uff29\uff23\u3068\u306a\u308b\u3002\u3053\u308c\u3089\u306e\u5fb4\u5019\u306e\u5f8c\u3001\u75c7\u72b6\u5897\u60aa\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E5%A6%8A%E5%A8%A0%E4%B8%AD%E6%AF%92%E7%97%87%E3%81%AE%E5%A6%8A%E5%A8%A0%E7%B5%82%E4%BA%86%E3%81%AE%E9%81%A9%E5%BF%9C%E6%8C%87%E9%87%9D\"><\/span>\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u598a\u5a20\u7d42\u4e86\u306e\u9069\u5fdc\u6307\u91dd<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>\u6bcd\u4f53\u56e0\u5b50<br>\u3000\u3000\u3000\u3000\u3000\u3000\uff11\uff0e\u6cbb\u7642\u306b\u62b5\u6297\u3057\u3066\u75c7\u72b6\u304c\u4e0d\u5909\u307e\u305f\u306f\u5897\u60aa<br>\u3000\u3000\u3000\u3000\u3000\u3000\uff12\uff0e\u5b50\u7647\u3001\u65e9\u5265\u3001\u80f8\u30fb\u8179\u6c34\u3001HELLP\u75c7\u5019\u7fa4\u3001\u80ba\u6c34\u816b\u3001\u4ed6\u5408\u4f75\u75c7\u306e\u51fa\u73fe<br>\u3000\u3000\u3000\u3000\u3000\u3000\uff13\uff0e\u814e\u6a5f\u80fd\u306e\u60aa\u5316<br>\u3000\u3000\u3000\u3000\u3000\u3000\uff14\uff0e\u8840\u6db2\u51dd\u56fa\u7570\u5e38\u306e\u51fa\u73fe<br>\u80ce\u5150\u56e0\u5b50<br>\u3000\u3000\u3000\u3000\u3000\u3000\uff11\uff0e\u80ce\u5150\u767a\u80b2\u505c\u6b62\uff08\u598a\u5a2028\u9031\u4ee5\u964d\u30012\u9031\u9593\u4ee5\u4e0a\uff09<br>\u3000\u3000\u3000\u3000\u3000\u3000\uff12\uff0e\u80ce\u5150\u4eee\u6b7b\u5fb4\u5019\uff08NST\uff09\u3001\uff23\uff33\uff34 positive<br>\u3000\u3000\u3000\u3000\u3000\u3000\uff13\uff0e\u7f8a\u6c34\u91cf\u6e1b\u5c11\u3001\uff22\uff30\uff33\u306e\u4f4e\u4e0b\u30fb\u30fb\u30fb\u6f5c\u5728\u6027\u80ce\u5150\u4eee\u6b7b<br>\uff0a \u51dd\u56fa\u30fb\u7dda\u6eb6\u7cfb<br>\u30fb\uff34\uff21\uff34\uff1a\u30c8\u30ed\u30f3\u30d3\u30f3\u3068AT-III\u306e\u8907\u5408\u4f53\u3002\u4e0a\u6607\u306f\u51dd\u56fa\u4ea2\u9032\u3092\u793a\u3059\u3002<br>\u30fbAT-III\uff1a\u30c8\u30ed\u30f3\u30d3\u30f3\u3092\u306f\u3058\u3081Xa,IXa,XIa,XIIa,\u30ab\u30ea\u30af\u30ec\u30a4\u30f3\u3001\u30d7\u30e9\u30b9\u30df\u30f3\u306a\u3069\u306e\u6d3b\u6027\u3092\u963b\u5bb3\u3059\u308b\u3002<br>\u4f4e\u4e0b\u306f\u51dd\u56fa\u4ea2\u9032\u3092\u793a\u3059\u3002<br>\u30fbDidimer\uff1a\u30d5\u30a3\u30d6\u30ea\u30f3\u5206\u89e3\u7523\u7269\u3002\u4e0a\u6607\u306f2\u6b21\u7dda\u6eb6\u4ea2\u9032\u3092\u793a\u3059\u3002<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E8%B6%85%E9%9F%B3%E6%B3%A2%E3%81%AB%E3%82%88%E3%82%8B%E8%83%8E%E5%85%90well_being%E8%A9%95%E4%BE%A1\"><\/span>\u8d85\u97f3\u6ce2\u306b\u3088\u308b\u80ce\u5150well being\u8a55\u4fa1<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p>(1) \u3000BPS(biophisical profile score)<br>\u80ce\u5150\u306f\u9178\u7d20\u306e\u4f9b\u7d66\u304c\u5341\u5206\u3042\u308b\u3068\u6c17\u6301\u3061\u3088\u304f\u3066\u3001\u8eab\u4f53\u3092\u3088\u304f\u52d5\u304b\u3059\u3002\u9178\u7d20\u306e\u4f9b\u7d66\u91cf\u304c\u5c11\u306a\u304f\u306a\u308b\u3068\u3001\u5c11\u306a\u3044\u9178\u7d20\u3092\u3088\u308a\u6709\u52b9\u306b\u5229\u7528\u3059\u308b\u305f\u3081\u3068\u3001\u4e00\u756a\u5927\u5207\u306a\u8133\u306b\u9178\u7d20\u3092\u96c6\u3081\u308b\u305f\u3081\u306b\u56db\u80a2\u30fb\u8eab\u4f53\u306e\u52d5\u304d\u3092\u5c11\u306a\u304f\u3059\u308b\u3002\u305d\u306e\u80ce\u5150\u306e\u4ee3\u511f\u4f5c\u7528\u3092\u8d85\u97f3\u6ce2\u3067\u89b3\u5bdf\u3059\u308b\u306e\u304cBPS\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<p>(2) \u30ab\u30e9\u30fc\u30c9\u30c3\u30d7\u30e9\u30fc<br>\u81cd\u5e2f\u52d5\u8108\u8840\u6d41\u6ce2\u5f62\uff08UA\uff09\u3068\u4e2d\u5927\u8133\u52d5\u8108\u8840\u6d41\u6ce2\u5f62\uff08MCA\uff09\u3092\u8a08\u6e2c\u3057\u3001PI\uff08pulsatility index\uff09\u3068RI\uff08resistance index\uff09\u3092\u7b97\u51fa\u3059\u308b\u3002PI\u3068RI\u306e\u5024\u306f\u6e2c\u5b9a\u3057\u3066\u3044\u308b\u6b20\u9665\u304b\u3089\u672b\u68a2\u306b\u8840\u6db2\u304c\u6d41\u308c\u3084\u3059\u3044\u304b\u3001\u6d41\u308c\u306b\u304f\u3044\u304b\u3092\u793a\u30591\u3064\u306e\u6307\u6a19\uff08\u8840\u7ba1\u62b5\u6297\uff09\u3067\u3042\u308b\u3002\u5024\u304c\u5927\u304d\u3051\u308c\u3070\u8840\u6db2\u304c\u6d41\u308c\u306b\u304f\u3044\u3001\u5c0f\u3055\u3051\u308c\u3070\u6d41\u308c\u3084\u3059\u3044\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002<br><br>\u6b63\u5e38\uff1a\u3000RI\u3001PI\u3068\u3082\u306bMCA\uff1eUAUA\uff1eMCA\uff08\u4e2d\u5927\u8133\u52d5\u8108\u306e\u8840\u7ba1\u62b5\u6297\u304c\u9ad8\u304f\u3001\u8133\u3078\u306e\u8840\u6d41\u306f\u5c11\u306a\u3044\uff09<br>\u6f5c\u5728\u6027\u80ce\u5150\u4eee\u6b7b\uff1a\u3000RI\u3001PI\u3068\u3082\u306bUA\uff1eMCA<br>\uff08\u4e2d\u5927\u8133\u52d5\u8108\u306e\u8840\u7ba1\u62b5\u6297\u304c\u4f4e\u304f\u3001\u8133\u3078\u306e\u8840\u6d41\u306f\u591a\u304f\u306a\u3063\u3066\u3044\u308b\uff09<br>\uff1d\u80ce\u76e4\u304b\u3089\u304f\u308b\u9178\u7d20\u304c\u6e1b\u3063\u3066\u3044\u308b\u305f\u3081\u3001\u4f53\u5168\u4f53\u306b\u884c\u304d\u6e21\u308b\u306f\u305a \u306e\u8840\u6db2\u3092\u8133\u306b\u3042\u3064\u3081\u3066\u3044\u308b\u3002\u3053\u308c\u3092brain sparing effect\u3068\u3044\u3044\u3001\u5b50\u5bae\u5185\u74b0\u5883\u306e\u60aa\u5316\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u3002\u3057\u304b\u3057\u3001\u3053\u306e\u6bb5\u968e\u3067\u306f\u3053\u306e\u671f\u6240\u306b\u3088\u308a\u8133\u306b\u9178\u7d20\u304c\u96c6\u307e\u308b\u305f\u3081\u80ce\u5150\u4eee\u6b7b\u3068\u306f\u306a\u3063\u3066\u3044\u306a\u3044\u3002\u3055\u3089\u306b\u9032\u884c\u3059\u308b\u3068\uff1aUA\u306e\u62e1\u5f35\u671f\u8840\u6d41\u306e\u9014\u7d76\u3001\u9006\u6d41\u304c\u51fa\u73fe\u3002\uff08RI\u3001PI\u3068\u3082\uff1d\uff11\uff0cRI\u3001PI\u3068\u3082\uff1e\uff11\uff09<\/p>\n\n\n\n<p>(3)    AFI ( amoniotic fluid index )<br>\u5b50\u5bae\u3092\u4e0a\u4e0b\u5de6\u53f3\u306b4\u5206\u5272\u3057\u3066\u305d\u308c\u305e\u308c\u306e\u7f8a\u6c34\u30dd\u30b1\u30c3\u30c8\u306e\u6df1\u3055\u306e\u548c\u3092\u6c42\u3081\u308b\u3002\u7f8a\u6c34\u306f\u80ce\u5150\u5c3f\u3068\u80ce\u76e4\u3092\u542b\u3081\u305f\u5b50\u5bae\u5185\u5bae\u304b\u3089\u306e\u7523\u751f\u306b\u3088\u308b\u3002\u7f8a\u6c34\u91cf\u4f4e\u4e0b\u306f\u80ce\u76e4\u6a5f\u80fd\u306e\u4f4e\u4e0b\u306e\u7d50\u679c\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"485\" src=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-19-1024x485.png\" alt=\"\" class=\"wp-image-1180\" style=\"width:898px;height:425px\" srcset=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-19-1024x485.png 1024w, https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-19-300x142.png 300w, https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-19-768x364.png 768w, https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-19.png 1321w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\"><br><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"257\" src=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-20-1024x257.png\" alt=\"\" class=\"wp-image-1181\" srcset=\"https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-20-1024x257.png 1024w, https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-20-300x75.png 300w, https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-20-768x193.png 768w, https:\/\/okawa-obgyn.com\/hosp\/images\/2021\/02\/image-20.png 1256w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E4%BB%98%E9%8C%B2_%EF%BC%9A_%EF%BC%A8%EF%BC%A5%EF%BC%AC%EF%BC%AC%EF%BC%B0%E7%97%87%E5%80%99%E7%BE%A4%E3%80%81%EF%BC%A1%EF%BC%A6%EF%BC%AC%EF%BC%B0%EF%BC%88acute_fatty_liver_of_pregnancy%EF%BC%89%E6%80%A5%E6%80%A7%E5%A6%8A%E5%A8%A0%E8%84%82%E8%82%AA%E8%82%9D\"><\/span>\u4ed8\u9332 \uff1a \uff28\uff25\uff2c\uff2c\uff30\u75c7\u5019\u7fa4\u3001\uff21\uff26\uff2c\uff30\uff08acute fatty liver of pregnancy\uff09\u6025\u6027\u598a\u5a20\u8102\u80aa\u809d<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p><strong>\uff03\uff28\uff25\uff2c\uff2c\uff30\u75c7\u5019\u7fa4<\/strong><br>\u6eb6\u8840\uff08Hemolysis\uff09\u3001\u809d\u9175\u7d20\u306e\u4e0a\u6607\uff08elevated liver enzyme\uff09\u3001\u8840\u5c0f\u677f\u6e1b\u5c11\uff08low&nbsp;platelet count) \u3092\u793a\u3059\u91cd\u75c7\u598a\u5a20\u4e2d\u6bd2\u75c7\u3000\u306e\uff11\u7fa4<\/p>\n\n\n\n<p>\u75c7\u72b6\u3000\uff1a\u5614\u6c17\u3001\u5614\u5410\u3001\u5fc3\u7aa9\u90e8\u75db\u3001\u53f3\u5b63\u808b\u90e8\u75db\u7b49\u304c\u7a81\u7136\u767a\u75c7<br>\uff0a\u6d88\u5316\u5668\u75c7\u72b6\u304c\u6700\u521d\u306b\u73fe\u308c\u308b\u306e\u304c\u7279\u5fb4\u3067\u3001\u598a\u5a66\u304c\u80c3\u306e\u75db\u307f\u3092\u8a34\u3048\u305f\u3089\u672c\u75c7\u3092\u7591\u3044\u307e\u3059\u3002\uff08\u30d6\u30b9\u30b3\u30d1\u30f3\u306f\u7121\u52b9\uff09<\/p>\n\n\n\n<p>\u75c5\u614b\u3000\uff1a\u80ce\u76e4\u3084\u809d\u81d3\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u8840\u6813\u5f62\u6210\u306b\u3088\u308b\u5fae\u5c0f\u5faa\u74b0\u969c\u5bb3\u3001\u8840\u7ba1\u5185\u76ae\u7d30\u80de\u969c\u5bb3\u3001\u5fae\u5c0f\u8840\u6813\u306b\u3088\u308b\u809d\u58ca\u6b7b\u3001\u8840\u5c0f\u677f\u6d88\u8cbb\u306b\u4f34\u3046\u8840\u6db2\u51dd\u56fa\u7570\u5e38\u3067\u3042\u308b\u3002<\/p>\n\n\n\n<p>\u767a\u75c7\u6642\u671f\u3000\uff1a7\u9031\u4ee5\u524d\u306e\u767a\u75c7\u306f10\uff05\u3001\u5206\u5a29\u5f8c1\u9031\u9593\u307e\u3067\u306e\u767a\u75c7\u308231\uff05\u3042\u308a\u3001\u5a29\u51fa\u304c\u5fc5\u305a\u3057\u3082\u6cbb\u7652\u306b\u5fc5\u9808\u3067\u306f\u306a\u3044\u3002<\/p>\n\n\n\n<p>\u8a3a\u65ad\u57fa\u6e96\u3000\uff1a\u5b9f\u306f\u3055\u307e\u3056\u307e\u306a\u8a3a\u65ad\u57fa\u6e96\u304c\u3042\u308a\u3001\u30aa\u30ea\u30b8\u30ca\u30eb\u306f1982\u5e74Weinstein\u306e\u5831\u544a\u3067\u3001\u8840\u5c0f\u677f\u657010\u4e07\u672a\u6e80\u306e\u307f\u304c\u660e\u8a18\u3055\u308c\u3066\u3044\u308b\u3002\u4e00\u65b9\u3001\u30c6\u30cd\u30b7\u30fc\uff08Sibai\uff09\u3084\u30df\u30b7\u30b7\u30c3\u30d4\u30b0\u30eb\u30fc\u30d7\uff08Martin\uff09\u306f\u3001\u8840\u5c0f\u677f\u6570\u306b\u52a0\u3048\u3001\u809d\u9175\u7d20\u3001\u30d3\u30ea\u30eb\u30d3\u30f3\u5024\u3001LDH\u3001\u30d8\u30de\u30c8\u30af\u30ea\u30c3\u30c8\u5024\u306a\u3069\u3092\u305d\u306e\u57fa\u6e96\u306b\u52a0\u3048\u3066\u3044\u308b\u3002<\/p>\n\n\n\n<p>\u4e88\u5f8c\u306e\u4e88\u6e2c\u3000\uff1a\u8840\u5c0f\u677f\u65705\u4e07\u4ee5\u4e0b\u304c\u91cd\u75c7\u306e\u76ee\u5b89\u3067\u3001\u4ed6\u30c7\u30fc\u30bf\u306f\u6307\u6a19\u306b\u306a\u3089\u306a\u3044\u3002\u3000<\/p>\n\n\n\n<p>\u5408\u4f75\u75c7\u3000\uff1aDIC\u3001\u8133\u51fa\u8840\u3001ARDS\u3001\u6025\u6027\u814e\u4e0d\u5168\u306a\u3069<\/p>\n\n\n\n<p>\u7523\u79d1\u306e\u5bfe\u5fdc\u3000\uff1a\u8a3a\u65ad\u3064\u304d\u6b21\u7b2c\u6025\u901f\u9042\u5a29\uff08C\/S\uff09, \u8840\u5c0f\u677f\u30aa\u30fc\u30c0\u30fc\u3002<\/p>\n\n\n\n<p>SS24\uff5e34\u9031\u3067\u306f\u80ce\u5150\u306e\u6210\u9577\u3092\u4fc3\u3059\u305f\u3081\u30b9\u30c6\u30ed\u30a4\u30c9\u4f7f\u7528\uff08dexamethasone 10mg every 12hr\uff09\u3092\u8003\u616e\u3002\u3053\u308c\u306b\u3088\u308a\u8840\u5c0f\u677f\u6570\uff06\u809d\u6a5f\u80fd\uff06\u5c3f\u91cf\u306a\u3069\u3082\u6539\u5584\u3059\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002\u53ef\u80fd\u306a\u3089\u7d4c\u81a3\u5206\u5a29\u3092\u56f3\u308b\u3002<\/p>\n\n\n\n<p><strong>\uff03\uff21\uff26\uff2c\uff30\uff08acute fatty liver of pregnancy\uff09\u6025\u6027\u598a\u5a20\u8102\u80aa\u809d<\/strong><br>T\u4e0a\u306e\u8102\u80aa\u809d\u3001PT\u5ef6\u9577\u3001\u30d3\u30ea\u30eb\u30d3\u30f3\u9ad8\u5024\u3001LDH\u6b63\u5e38\u3001\u8840\u5c0f\u677f\u657010\u4e07\u4ee5\u4e0a\u306a\u3069\u306b\u3088\u308a\u3001HELLP syndrome\u3068\u9451\u5225\u53ef\u80fd\u3067\u3042\u308b\u304c\u3001\u7d42\u672b\u306e\u81e8\u5e8a\u50cf\u306f\u307b\u307c\u540c\u3058\u3067\u5bfe\u5fdc\u306b\u5dee\u306f\u306a\u3044\u3002\u75c7\u72b6\u306fHELLP\u75c7\u5019\u7fa4\u3068\u540c\u3058\u3002<br>\u6025\u901f\u306bDIC\u3068\u306a\u308b\u305f\u3081\u3001\u65e9\u6025\u306bDIC\u6cbb\u7642\u958b\u59cb\u3057\u3001<em>termination!<\/em><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u539f\u56e0 \uff5e\u598a\u5a20\u3057\u3066\u3044\u308b\u3053\u3068\u81ea\u4f53\u304c\u539f\u56e0\uff5e \u598a\u5a20\u4e2d\u6bd2\u75c7\u306e\u75c5\u614b\u306f\u3001\u7c21\u5358\u306b\u3044\u3046\u3068\u300c\u598a\u5a20\u306b\u3088\u308b\u4f53\u306e\u5909\u5316\u306b\u3088\u3063\u3066\u6bcd\u4f53\u306b\u8ca0\u62c5\u304c\u304b\u304b\u308a\u3001\u305d\u306e\u8ca0\u62c5\u306b\u5bfe\u5fdc\u3067\u304d\u306a\u3044\u305f\u3081\u306b\u8d77\u3053\u308b\u3001\u9069\u5fdc\u4e0d\u5168\u75c7\u5019\u7fa4\u300d\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002 \u5177\u4f53\u7684\u306b\u306f\u4ee5\u4e0b\u306e\u75c5 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":79,"menu_order":10,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-133","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/133"}],"collection":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/comments?post=133"}],"version-history":[{"count":7,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/133\/revisions"}],"predecessor-version":[{"id":3753,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/133\/revisions\/3753"}],"up":[{"embeddable":true,"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/pages\/79"}],"wp:attachment":[{"href":"https:\/\/okawa-obgyn.com\/hosp\/wp-json\/wp\/v2\/media?parent=133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}